Individual
ALEXEI ADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 727-3015
Mailing address
20103 LAKE CHABOT RD, CASTRO VALLEY, CA 94546-5305
(510) 727-3320
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A161408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A161408
CA MEDICAL LICENSE
CA
01
—
MD465613
PA MEDICAL LICENSE
PA
Enumeration date
04/02/2015
Last updated
02/26/2021
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